ENRIQUE A JIMENEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036416

License Status

EXPIRED

Business

First Name

ENRIQUE

Middle

Last Name

JIMENEZ

Business Name

ENRIQUE A JIMENEZ

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

06/26/2000

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006